Impact of a diabetes electronic management system on the care of patients seen in a subspecialty diabetes clinic.
Diabetes Care
; 21(6): 972-6, 1998 Jun.
Article
en En
| MEDLINE
| ID: mdl-9614616
ABSTRACT
OBJECTIVE:
To compare the compliance with diabetes care performance indicators by diabetes specialists using a diabetes electronic management system (DEMS) and by those using the traditional paper medical record. RESEARCH DESIGN ANDMETHODS:
A DEMS has been gradually introduced into our subspecialty practice for diabetes care. To assess the value of this DEMS as a disease management tool, we completed a retrospective review of the medical records of 82 randomly selected patients attending a subspecialty diabetes clinic (DC) during the first quarter of 1996. Eligible patients were defined by the suggested criteria from the American Diabetes Association Provider Recognition Program. During the first quarter of 1996, approximately one half of the providers began using the DEMS for some but not all of their patient encounters. Neither abstractors nor providers were aware of the intent to examine performance in relationship to use of the DEMS.RESULTS:
Several measures were positively influenced when providers used the DEMS. The number of foot examinations, the number of blood pressure readings, and a weighted criterion score were greater (P < 0.01) for providers using the DEMS. There was evidence, although not statistically significant, for lower mean diastolic blood pressures (P = 0.043) in patients and for number of glycated hemoglobins documented (P = 0.018) by users of the DEMS.CONCLUSIONS:
Performance and documentation of the process of care for patients with diabetes in a subspecialty clinic are greater with the use of a DEMS than with the traditional paper record.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Registros Médicos
/
Sistemas de Registros Médicos Computarizados
/
Diabetes Mellitus
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Diabetes Care
Año:
1998
Tipo del documento:
Article
País de afiliación:
Estados Unidos